RTALF Application Form

RIO TINTO ALCAN LEGACY FUND SCHOLARSHIP/BURSARY

APPLICATION FORM
INSTRUCTIONS

Applicable to students from the parishes of St. Ann, St. Catherine and Manchester who are pursuing agricultural studies
NO APPLICATION WILL BE ACCEPTED AFTER SEPTEMBER 30, 2023

INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED.

Please read the instructions carefully before completing this form and answer all relevant questions.

Kindly ensure before starting the application process that you:

1. Download all supporting documents, complete and obtain all required signatures before submitting. CLICK HERE FOR DOCUMENTS

2. Prepare an essay of purpose (150-200 words) stating why you should be selected for this scholarship.

3. Obtain school reports/transcript for last academic year from your respective institution. The report MUST be submitted in PDF format.

4. Fill out the online application form and upload PDF format of all supporting documents.

5. If you wish to save and continue your application later, CLICK SAVE at the end of each page.

6. CLICK SUBMIT when you have completed your application.

* Required Documents

Kindly ensure that all the following supporting documents are completed and uploaded:

All Applicants
1. Signed Application Form
2. Copy of School ID
3. One (1) Certified Passport Size Photos (applicable ONLY to students without a school ID)
4. Reference Letter
5. Signed Declaration Form
6. Essay stating why you should be considered for the scholarship/bursaries
First Year Tertiary Students
1. Acceptance Letter (This is applicable to 1st-year tertiary students)
Returning Students (Applicable to students who previously benefitted from scholarship/bursary)
1. Certified copy of last (final semester) school report/transcript
2. Beneficiary Report outlining how scholarship/bursary was used
3. Evidence of monies spent (an affidavit may be used where receipts and other means of verification are not available)
SECTION A - PERSONAL DATA
Applicant's Name

First NameMiddle NameLast Name
ID type
ID Number
Please upload Identification (School ID / National ID or Passport)

Browse for Identification
Formats : jpg, jpeg, png Cancelof
Gender
Date of Birth

MonthDayYear
Marital Status
Name of Guardian (if applicable)

First NameLast Name
Guardian primary contact #
Format: (876) 000-0000.
Father's Name

First NameLast Name
Father's Age
Father's Occupation
Father's contact #
Format: (876) 000-0000.
Mother's Name

First NameLast Name
Mother's Age
Mother's Occupation
Mother's contact #
Format: (876) 000-0000.
Does any of your parent have a disability?
If yes, Please state the type of disability
If yes , please specify which parent(s)
Do you have any disability ?
If yes, please specify the type of disability
Do you perform any volunteering services ?
If yes, please state the type of volunteering work you perform
Are you a Jamaica 4-H Clubs member?
Are you on P.A.T.H.?
If yes, please specify the type of assistance received from P.A.T.H.
How did you obtain information about this scholarship?
If other, please state
SECTION B- APPLICANT'S CONTACT INFORMATION
Home Address

Apt.#/ Street/ District

City/ Town/ Community

Country
Parish

Other
Mailing Address (if different from above)

Apt. #/ Street/ District

Street Address Line 2

City/ Town / CommunityState / Province

Postal / Zip CodeCountry
Email Address
example@example.com
Home/ Mobile Number 1
Format: (876) 000-0000.
Mobile Number 2
Format: (876) 000-0000.
Social Media Contact
Social Media Username
SECTION C - ACADEMIC BACKGROUND
Name of Institution
If other, please state
What type of institution are you currently enrolled in ?
Expected Date of Graduation

MonthDayYear
Date
What is your Form or Year of Study ?
Institution's contact

Area CodePhone Number
Address of School

Street/ District

City/ Town / Community

CityState / Province

Postal / Zip CodeCountry
What is the name of your Principal?
What is the name of your 4-H Leader./ Agricultural Teacher?
What is the name of your Guidance Counsellor?
Are you currently studying agriculture or an agriculture related course?
If yes, please state the name of subject/ course or programme.
Last Agriculture Science Average
Also applicable if you just started studying agriculture
Current GPA (for tertiary students only)
Also applicable if you just started studying agriculture
CSEC Agriculture Science Grade (if applicable)
Also applicable if you just started studying agriculture
Upload certified copies of your last school report or final semester and/ or CSEC Certificate or Transcript)

Upload Copies
Formats : pdf, doc, docx, xls, xlsx, jpg, png Cancelof

Rows	AMOUNT
Lunch
Tuition
Books
Transportation
C.X.C. Examinations
Other (eg. Computer, uniform)
TOTAL

Rows	ORGANIZATION/ACTIVITY	FROM	TO	POSITIONS HELD/ ACHIEVEMENTS
1
2
3
4
5
6
7

RIO TINTO ALCAN LEGACY FUND SCHOLARSHIP/BURSARY

INSTRUCTIONS

SECTION A - PERSONAL DATA

SECTION B- APPLICANT'S CONTACT INFORMATION

SECTION C - ACADEMIC BACKGROUND

SECTION D- FINANCIAL BACKGROUND

Disbursement information

SECTION E- CAREER PLANS, WORK EXPERIENCE AND SKILLS AND PARTICIPATION IN COMMUNITY, SCHOOL & OTHER ACTIVITIES